HomeMy WebLinkAboutZENGER FOLKMAN COMPANY INC - INSURANCE CERTIFICATE (2)Aco�rw® CERTIFICATE OF LIABILITY INSURANCE
12/`122/20 )5
THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the
terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
COLONIAL GENERAL INS AG INC UT/PHS
CONTACT
NAME
E.
(arc°."N.Ext): (866) 467-8730
(ac.No> (888) 443-6112
470765 P: (866) 467-8730 F: (888) 443-6112
A11
DDRIESS:
PO BOX 33015
INSURER(S) AFFORDING COVERAGE NAI(;*
SAN ANTONIO TX 78265
INSURERA: Multiple Companies
INSURED
INSURER B :
INSURER C :
ZENGER FOLKMAN COMPANY, INC.
INSURER D:
1213 RESEARCH WAY BLDG Q
INSURER E:
OREM UT 84097
INSURERF:
4CMIlf l4M IC mumnLm- WFUMI"w W""UFU-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE
TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LVSR
LTR
TYPE OF INSURANCE
ADDl
SUS
POLICYNUMBER
POLIC7'EFF
POLICTEYP
LIMIIS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑ OCCUR
EACH OCCURRENCE
$
DAMAGE
PREMISES R NToccu ante)
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
GEN'L
GENERAL AGGREGATE
;
AGGREGATE DMITAPPLIESPER:
POLICY JET ❑ LOC
PRODUCTS - COMP/OP AGG
;
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY Peraocident
( )5
HIRED AUTOS NON -OWNED
AUTOS
PROPERTY DAMAGE
(Per accident)
$
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
g
EXCESS LtAB
CLAIMS -MADE
AGGREGATE
g
DE
I RETENTION S
A
WORKEBSCOMPENSATTON
ANDE"LOYEBJ LLIMLn'T
ANY PROPRIETORIPARTNERIEXECUTIVEYIN
EXCLUDED?
(Mandatory in NH) ❑
WA
34 WEC IP8263
08/30/2015
08/30/2016
PER OTH-
X STATUTE I JER
E.L. EACH ACCIDENT
5 ] 0 0 () r 0 0 0OFFICERIMEMBER
E.L. DISEASE- EAEMPLOYEE
000, 000
D'1r
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT
J1 r 000, 000
DESCRIPTIONOFOPERATIONS /LOCATIONS / VEHR:lillil 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations_ Certificate Holder is an Additional
Insured per the Business Liability Coverage Form SS0008 attached to this
policy.
nvt.ANGtLLA I TUN
City of Fort Collins
Attn: Purchasing
PO BOX 580
FORT COLLINS, CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
77ED REPRESENTAT►VE 4
74-z-
@ 1989-2014 ACORD CORPORATION. AI
ed.
,K%.VRU 4D kzu 141u1)
I ne AlL;U tU name and logo are registered marks of ACORD